Individual provider Active NPI

Stephanie E Zoch

  • Speech-Language Pathologist
  • Canton, GA
National Provider Identifier
1417240169
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP007134 Issued in GA
Practice address
310 Paper Trail Way
Ste 302
Canton, GA 30115-5203
Phone
(770) 345-2804
Fax
(678) 827-0927
NPI assigned
May 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP007134 GA Primary

Addresses

Primary practice location

310 Paper Trail Way
Ste 302
Canton, GA 30115-5203

Mailing address

310 Paper Trail Way
Ste 302
Canton, GA 30115-5203
Phone (770) 345-2804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201229002146 TN Practitioner - Qualified Speech Language Pathologist 7113330796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of South Carolina School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Results-Ast JV LLCGroup PAC ID 4486066396, 390 clinicians

Practice addresses (Care Compare)

1559 Sparta St
McMinnville, TN 37110-1316
Phone (931) 815-4367

2030 Cowan Hwy
Suite 1
Winchester, TN 37398-2425
Phone (931) 968-1080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5457TNMDPharmacist
SLP007134GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Results-Ast JV, LLC Speech-Language Pathologist CurrentSince Jan 1, 2021 Accepting new patients
Therabeat, Inc. Past Accepting new patients
Grow With Me Pediatric Physical Therapy Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1417240169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 PAPER TRAIL WAY",
            "address_2": "STE 302",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301155203",
            "telephone_number": "770-345-2804",
            "fax_number": "678-827-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 PAPER TRAIL WAY",
            "address_2": "STE 302",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301155203",
            "telephone_number": "770-345-2804",
            "fax_number": "678-827-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOCH",
        "first_name": "STEPHANIE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.